Please be honest with your answers and answer each question in as much depth as possible. UK universities assess applications very differently from universities in Romania and all the questions are linked to your application package.

When you have completed the form it will become the basis of your initial counselling interview.

Section 1 - Personal Details

First Name *

Family Name *

Address (Street, House/Apartment Number, Block, Etaj)

City/Town

Please attach a recent photograph of yourself in JPG format

Date of birth +

Age

Gender

Nationality

Current class at school

Email Address *

Mobile phone number *

Home fixed line number

Do you currently use Facebook?

Do you currently use Skype?

Please give your Skype name

Mother's name

Mother's email address

Mother's phone number

Father's name

Father's email address

Father's phone number

Section 2 - Your school and academic achievements

Name of your current school.

Address (Street and Number)

City/Town

What is the nationality of the curriculum that you are following?

What is the name of the diploma that you will receive when you graduate high school?

What are the individual subjects for which you will take exams that are part of this diploma?

	Subject	Actual or Expected Grade
1.	Subject	Actual or Expected Grade
2.	Subject	Actual or Expected Grade
3.	Subject	Actual or Expected Grade
4.	Subject	Actual or Expected Grade
5.	Subject	Actual or Expected Grade
6.	Subject	Actual or Expected Grade
7.	Subject	Actual or Expected Grade
8.	Subject	Actual or Expected Grade
9.	Subject	Actual or Expected Grade
10.	Subject	Actual or Expected Grade
11.	Subject	Actual or Expected Grade
12.	Subject	Actual or Expected Grade
13.	Subject	Actual or Expected Grade
14.	Subject	Actual or Expected Grade

Average or overall score/grade/mark

Have you taken or are you taking any additional English language qualifications?

	Qualification	Date Taken	Grade
1.	Qualification	Date Taken	Grade
2.	Qualification	Date Taken	Grade
3.	Qualification	Date Taken	Grade
4.	Qualification	Date Taken	Grade
5.	Qualification	Date Taken	Grade

Have you taken or are preparing to take any other academic exams? (e.g. languages or computing qualifications)

	Qualification	Date Taken / To Be Taken	Grade / Mark
1.	Qualification	Date Taken / To Be Taken	Grade / Mark
2.	Qualification	Date Taken / To Be Taken	Grade / Mark
3.	Qualification	Date Taken / To Be Taken	Grade / Mark
4.	Qualification	Date Taken / To Be Taken	Grade / Mark
5.	Qualification	Date Taken / To Be Taken	Grade / Mark

Please state any academic competitions (including debating and public speaking) that you have been involved in during the last 3 years. For 'Level' state school/town/county/national/international

	Subject	Date (Year Only)	Level
1.	Subject	Date (Year Only)	Level
2.	Subject	Date (Year Only)	Level
3.	Subject	Date (Year Only)	Level
4.	Subject	Date (Year Only)	Level
5.	Subject	Date (Year Only)	Level

Section 3 - Extracurricular activities and your life outside school

Work Experience - Give details of any paid or unpaid work experience you have had.

	What Did You Do?	Dates (Duration)
1.	What Did You Do?	Dates (Duration)
2.	What Did You Do?	Dates (Duration)
3.	What Did You Do?	Dates (Duration)
4.	What Did You Do?	Dates (Duration)

Do you play any sports? Include any non competitive sports such as jogging, walking/hiking etc. How regularly do you do this sport? Have you played in a team? Have you ever held any form of leadership role (formal or informal)? Have you helped coach other people?

Are you involved in any voluntary work with an NGO or other organization? How long have you been involved? have you ever held any form of leadership role (formal or informal)? What activities do you do? Have you helped 'coach' other people? [include any environmental projects / activities]

Do you play a musical instrument or sing? Are you a member of a band, group choir or orchestra? Have you ever composed music or conducted? Have you ever held any form of leadership role (formal or informal)? Have you helped coach other people?

Do you paint, draw, or write for pleasure? If so give details. Has your work ever been published or publicly displayed?

Have you been involved in any other groups inside or outside school? For example, drama or dance group, computer or maths club, animal/human rights groups, photography club, school newspaper/magazine/radio station, Lions Club? Have you had any leadership role in them?

What positions of responsibility have you held inside or outside school? Have you been a prefect, member of the school council or head girl/boy? Have you organised any events inside or outside school?

Have you attended any other courses or summer camps? Include anything linked to your hobbies or academic subjects.

Do you have any other hobbies / interests? (include reading, listening to music etc)

Section 4 - Studying Abroad

What subjects do you think you might be interested in studying in the UK?

Do you have any ideas about a job / career after university?

Have you read any books (in English or Romanian) about the subjects you are interested in studying in the UK which are not school text books? If so, please briefly list the titles.

Have you done any research, or know anything about any particular UK universities? Are there any you would or wouldn't like to apply to? Please give reasons for your answers.

Read the statements and select your preferences.

	Totally Agree	Partially Agree	Disagree
I would like to study in a self-contained campus university near a small town or in the countryside	Totally Agree	Partially Agree	Disagree
I would like to study in a self-contained campus university in or near a city	Totally Agree	Partially Agree	Disagree
I would like to study at an old university in an old small - medium sized city or town	Totally Agree	Partially Agree	Disagree
I would like to study at a large city university (London, Manchester, Leeds, Glasgow, Edinburgh, Bristol, etc)	Totally Agree	Partially Agree	Disagree
I would love to study in London!	Totally Agree	Partially Agree	Disagree

Have you done any research, or know anything about any particular UK countries (England, Scotland, Wales, Northern Ireland), regions or cities? Are there any that you particularly would or wouldn't like to live in?

How did you first hear about Albion International Study?

If 'Other', please state

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